Individual provider Active NPI

Logan Long, COTA

  • Occupational Therapist
  • Burien, WA
National Provider Identifier
1639770159
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT70029666 Issued in WA
Practice address
275 SW 160TH St Ste 105
Burien, WA 98166-3073
Phone
(206) 513-2155
Fax
(206) 513-2886
NPI assigned
Nov 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT70029666 WA Primary

Addresses

Primary practice location

275 SW 160TH St Ste 105
Burien, WA 98166-3073

Mailing address

275 SW 160TH St Ste 105
Burien, WA 98166-3073
Phone (206) 513-2155

Other identifiers 1

IdentifierTypeStateIssuer
535600OtherWANBCOT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251130000175 WA Practitioner - Occupational Therapist in Private Practice 4082107990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians

Practice addresses (Care Compare)

275 SW 160TH St
Suite 105
Burien, WA 98166-3003
Phone (206) 513-2155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT70029666WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Management Services, PLLC Current Accepting new patients
Therapy Management Services, PLLC Occupational Therapist CurrentSince Oct 15, 2025 Accepting new patients
Therapy Management Services, PLLC Occupational Therapist CurrentSince Oct 15, 2025 Accepting new patients

Locations

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

275 SW 160th St
Ste 105
Burien, WA 98166
Phone (206) 513-2155

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1639770159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SW 160TH ST STE 105",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663073",
            "telephone_number": "206-513-2155",
            "fax_number": "206-513-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SW 160TH ST STE 105",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663073",
            "telephone_number": "206-513-2155",
            "fax_number": "206-513-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LOGAN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT70029666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "535600",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.